Neurosensory analysis of tooth sensitivity during at-home dental bleaching: a randomized clinical trial

Abstract Objective The objective of this study was to evaluate dental sensitivity using visual analogue scale, a Computerized Visual Analogue Scale (CoVAS) and a neurosensory analyzer (TSA II) during at-home bleaching with 10% carbamide peroxide, with and without potassium oxalate. Materials and M...

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Main Authors: André Luiz Fraga Briso, Vanessa Rahal, Fernanda Almeida de Azevedo, Marjorie de Oliveira Gallinari, Rafael Simões Gonçalves, Paulo Henrique dos Santos, Luciano Tavares Angelo Cintra
Format: Article
Language:English
Published: University of São Paulo 2018-05-01
Series:Journal of Applied Oral Science
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572018000100442&lng=en&tlng=en
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author André Luiz Fraga Briso
Vanessa Rahal
Fernanda Almeida de Azevedo
Marjorie de Oliveira Gallinari
Rafael Simões Gonçalves
Paulo Henrique dos Santos
Luciano Tavares Angelo Cintra
author_facet André Luiz Fraga Briso
Vanessa Rahal
Fernanda Almeida de Azevedo
Marjorie de Oliveira Gallinari
Rafael Simões Gonçalves
Paulo Henrique dos Santos
Luciano Tavares Angelo Cintra
author_sort André Luiz Fraga Briso
collection DOAJ
description Abstract Objective The objective of this study was to evaluate dental sensitivity using visual analogue scale, a Computerized Visual Analogue Scale (CoVAS) and a neurosensory analyzer (TSA II) during at-home bleaching with 10% carbamide peroxide, with and without potassium oxalate. Materials and Methods Power Bleaching 10% containing potassium oxalate was used on one maxillary hemi-arch of the 25 volunteers, and Opalescence 10% was used on the opposite hemi-arch. Bleaching agents were used daily for 3 weeks. Analysis was performed before treatment, 24 hours later, 7, 14, and 21 days after the start of the treatment, and 7 days after its conclusion. The spontaneous tooth sensitivity was evaluated using the visual analogue scale and the sensitivity caused by a continuous 0°C stimulus was analyzed using CoVAS. The cold sensation threshold was also analyzed using the TSA II. The temperatures obtained were statistically analyzed using ANOVA and Tukey's test (α=5%). Results The data obtained with the other methods were also analyzed. 24 hours, 7 and 14 days before the beginning of the treatment, over 20% of the teeth presented spontaneous sensitivity, the normal condition was restored after the end of the treatment. Regarding the cold sensation temperatures, both products sensitized the teeth (p<0.05) and no differences were detected between the products in each period (p>0.05). In addition, when they were compared using CoVAS, Power Bleaching caused the highest levels of sensitivity in all study periods, with the exception of the 14th day of treatment. Conclusion We concluded that the bleaching treatment sensitized the teeth and the product with potassium oxalate was not able to modulate tooth sensitivity.
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spelling doaj.art-ee4dcd7b5b574de89a3abc5ea4e229722022-12-22T02:36:31ZengUniversity of São PauloJournal of Applied Oral Science1678-77652018-05-0126010.1590/1678-7757-2017-0284S1678-77572018000100442Neurosensory analysis of tooth sensitivity during at-home dental bleaching: a randomized clinical trialAndré Luiz Fraga BrisoVanessa RahalFernanda Almeida de AzevedoMarjorie de Oliveira GallinariRafael Simões GonçalvesPaulo Henrique dos SantosLuciano Tavares Angelo CintraAbstract Objective The objective of this study was to evaluate dental sensitivity using visual analogue scale, a Computerized Visual Analogue Scale (CoVAS) and a neurosensory analyzer (TSA II) during at-home bleaching with 10% carbamide peroxide, with and without potassium oxalate. Materials and Methods Power Bleaching 10% containing potassium oxalate was used on one maxillary hemi-arch of the 25 volunteers, and Opalescence 10% was used on the opposite hemi-arch. Bleaching agents were used daily for 3 weeks. Analysis was performed before treatment, 24 hours later, 7, 14, and 21 days after the start of the treatment, and 7 days after its conclusion. The spontaneous tooth sensitivity was evaluated using the visual analogue scale and the sensitivity caused by a continuous 0°C stimulus was analyzed using CoVAS. The cold sensation threshold was also analyzed using the TSA II. The temperatures obtained were statistically analyzed using ANOVA and Tukey's test (α=5%). Results The data obtained with the other methods were also analyzed. 24 hours, 7 and 14 days before the beginning of the treatment, over 20% of the teeth presented spontaneous sensitivity, the normal condition was restored after the end of the treatment. Regarding the cold sensation temperatures, both products sensitized the teeth (p<0.05) and no differences were detected between the products in each period (p>0.05). In addition, when they were compared using CoVAS, Power Bleaching caused the highest levels of sensitivity in all study periods, with the exception of the 14th day of treatment. Conclusion We concluded that the bleaching treatment sensitized the teeth and the product with potassium oxalate was not able to modulate tooth sensitivity.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572018000100442&lng=en&tlng=enDental bleachingDentin sensitivityOxalatesPeroxides
spellingShingle André Luiz Fraga Briso
Vanessa Rahal
Fernanda Almeida de Azevedo
Marjorie de Oliveira Gallinari
Rafael Simões Gonçalves
Paulo Henrique dos Santos
Luciano Tavares Angelo Cintra
Neurosensory analysis of tooth sensitivity during at-home dental bleaching: a randomized clinical trial
Journal of Applied Oral Science
Dental bleaching
Dentin sensitivity
Oxalates
Peroxides
title Neurosensory analysis of tooth sensitivity during at-home dental bleaching: a randomized clinical trial
title_full Neurosensory analysis of tooth sensitivity during at-home dental bleaching: a randomized clinical trial
title_fullStr Neurosensory analysis of tooth sensitivity during at-home dental bleaching: a randomized clinical trial
title_full_unstemmed Neurosensory analysis of tooth sensitivity during at-home dental bleaching: a randomized clinical trial
title_short Neurosensory analysis of tooth sensitivity during at-home dental bleaching: a randomized clinical trial
title_sort neurosensory analysis of tooth sensitivity during at home dental bleaching a randomized clinical trial
topic Dental bleaching
Dentin sensitivity
Oxalates
Peroxides
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572018000100442&lng=en&tlng=en
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